Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nurse has received an order for Total Parenteral Nutrition for a patient admitted with severe malnutrition. Which of the following measures is essential?
  1. A complete blood count has been obtained
  2. A subclavian catheter is patent and a chest X-ray is done to confirm placement
  3. Arm restraints should be in place during the catheter insertion
  4. An antecubital IV catheter is started and a baseline chemistry profile has been done
Explanation
Answer - B - A measure that is essential is that a subclavian catheter is patent and a chest X-ray is done to confirm placement. TPN administration requires central vascular access into a high-flow vein. Before initiation of the TPN solution, the placement of the catheter tip must be confirmed by a chest X-ray.
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